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FRANCES KARAM CENA M.D.
NPI 1407290810
Anesthesiology in San Antonio, TX

Active since April 29, 2013PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
4242 MEDICAL DR STE 3100, SAN ANTONIO, TX 78229(210) 615-1187(210) 614-2180 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 14, 2024, Jul 21, 2022, Aug 30, 2017 (3 updates tracked since 2017).

About Frances Karam Cena M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRANCES KARAM CENA M.D. (NPI 1407290810) is an individual anesthesiology provider in San Antonio, Texas, licensed in Texas (R1712) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2013).

NPPES Registry Identity

NPI1407290810
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameFRANCES KARAM CENACredential: M.D.
Location Address4242 MEDICAL DR STE 3100San Antonio, TX 78229-5642
Mailing AddressPo Box 34717San Antonio, TX 78265-4717 · (210) 615-1187 · Fax (210) 614-2180
Phone(210) 615-1187
Fax(210) 614-2180
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2013
Enumeration DateApril 29, 2013
Last NPPES UpdateMay 14, 20243 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1407290810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in TX · R1712✔ Licensed in TX · BP10046226
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
4242 MEDICAL DR STE 3100, San Antonio, TX 78229
Open in Google Maps ↗

Other Names 1

Former Name (1)Frances Laura Karam M.d.

Secondary Practice Location 1

Location 14502 Medical DrSan Antonio, TX 78229-4402 · Phone (210) 358-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community First and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Frances Karam Cena M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365718921
PECOS Enrollment IDI20171026000075
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Frances Cena reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Health Science Center At San Antonio
0.6 mi
Clinical Pathology/Laboratory Medicine
7703 FLOYD CURL DR RM 327B
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 2,397 clinicians in this Medicare group
NPI 1396717989 (210) 450-9000
Community Medicine Associates
6.9 mi
Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group
NPI 1245313329 (210) 358-3401
Tejas Anesthesia PLLC
8.7 mi
Anesthesiology
18518 HARDY OAK BLVD STE 100
San Antonio, TX 78258
  • Reassigned Medicare billing, Texas enrollment
  • 226 clinicians in this Medicare group
NPI 1659027910 (210) 880-9897

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
18 services18 patients
Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
14 services14 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY J RUTZ MD
Anesthesiology
4242 MEDICAL DR STE 3100
SAN ANTONIO, TX 78229
Bexar County (210) 615-1187
DR. KRISTEN LEANNE WELLS M.D.
Anesthesiology
4242 MEDICAL DR STE 3100
SAN ANTONIO, TX 78229
Bexar County (210) 615-1187
BRIAN RUBIN M.D.
Anesthesiology
4242 MEDICAL DR STE 3100
SAN ANTONIO, TX 78229
Bexar County (210) 615-1187
TIMOTHY S ORIHEL MD
Anesthesiology
4242 MEDICAL DR STE 3100
SAN ANTONIO, TX 78229
Bexar County (210) 615-1187
RHONDA M MULLINS MD
Anesthesiology
4242 MEDICAL DR STE 3100
SAN ANTONIO, TX 78229
Bexar County (210) 615-1187
JANET D PUCKETT MD
Anesthesiology
4242 MEDICAL DR STE 3100
SAN ANTONIO, TX 78229
Bexar County (210) 615-1187
LAUREN CHRISTINE POWELL D.O.
Anesthesiology
4242 MEDICAL DR STE 3100
SAN ANTONIO, TX 78229
Bexar County (210) 615-1187
MARGARET A WILSON MD
Anesthesiology
4242 MEDICAL DR STE 3100
SAN ANTONIO, TX 78229
Bexar County (210) 615-1187

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frances Cena's NPI number?

The NPI number for Frances Cena is 1407290810. It was assigned to this individual provider in the NPPES registry on April 29, 2013. The provider is also known as Frances Laura Karam M.D..

Where is Frances Cena located?

Frances Cena practices at 4242 Medical Dr Ste 3100, San Antonio, TX 78229. The listed phone number is (210) 615-1187.

What is Frances Cena's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Frances Cena enrolled in Medicare?

Yes. Frances Cena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Frances Cena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frances Cena reassigns Medicare benefits to 3 organizations: University Of Texas Health Science Center At San Antonio (San Antonio, TX), Community Medicine Associates (San Antonio, TX) and Tejas Anesthesia PLLC (San Antonio, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Frances Cena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Frances Cena accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc. and Oscar Insurance Company list Frances Cena as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Frances Cena was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.